Organization
JACQUELYN A MUNIZ, PSY.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELYN A MUNIZ PSY.D. (OWNER/PRESIDENT)
(618) 964-4255
Entity
Organization
Contact information
Practice address
11264 ROUTE 37, MARION, IL 62959-8360
(618) 964-4255
(618) 997-7972
Mailing address
11264 ROUTE 37, MARION, IL 62959-8360
(618) 964-4255
(189) 997-7972
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
071005891
IL
Other
Enumeration date
09/02/2015
Last updated
08/27/2024
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